The IMIA NI Health Informatics Standards Work Group explores the scope of Nursing Informatics and its implication for health policy and information handling activities associated with evidence based nursing practice, nursing management, nursing research, nursing education, standards and patient (or client) decision making and the various relationships with other healthcare informatics entities.

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IMIA NI Health Informatics Standards Work Group

Suzanne Bakken (Co-Chair, US)
Nicholas Hardiker (Co-Chair, UK)

iNMDS
Connie Delaney (US)
William Goossen (Netherlands)

ISO 18104: Integration of a Reference Terminology Model for Nursing
Anne Casey (UK)
Amy Coenen (ICN)

Templates/Archetypes
Evelyn Hovenga (Australia)

Workflow and Communication
Rosemary Kennedy (US)
Rosaleen Murname (Ireland)
Suzanne Brown (Ireland)
Lynn Nagle (Canada)
Anneli Ensio (Finland)
Ayla Gonen (Israel)
Kathy Molstad (Norway)

Terminology Summit Transition
Suzanne Bakken (US)
Anne Casey (UK)
Patricia Dykes (US)
William Goossen (Netherlands)
Nicholas Hardiker (UK)
Marcie Harris (US)
Robert Haskell (US)
Rosemary Kennedy (US)
Susan Matney (US)

Disaster Management/Biodefense
Kathleen McCormick (US)

The goals of the Health Informatics Standards Work Group in regards to the IMIA-NI Strategic Plan objectives and challenges are summarized in the following table. This is accompanied by steps and/or activities to achieve the goal.

IMIA-NI Objective: Explore the scope of Nursing Informatics and its implication for health policy and information handling activities associated with evidence based nursing practice, nursing management, nursing research, nursing education, standards and patient (or client) decision making and the various relationships with other healthcare informatics entities.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Promulgate standards that enable nursing knowledge use and development in the electronic health records
  • Developing the electronic health record that both uses and informs nursing knowledge and is integral to the professional practice of all nurses.
  • Monitor and evaluate relevant electronic health record standards (e.g., Health Level 7, CEN, ISO, openEHR)
  • Identify, propose and participate in development and revision of relevant electronic health record standards to provide perspective on the needs for nursing knowledge use and development
  • Educate/inform non-nurses regarding the needs for standards that support nursing knowledge use and development
  • Educate/inform nurses regarding electronic health record standards
  • Monitor and support policy development related to adoption of electronic health record standards
  • Promulgate standards that enable representation of nursing-related measurements
  • Developing accurate and reliable measurements, which are credible to both nurses and key stakeholders, for example, nursing outcomes or workload measures, or risks.
  • Monitor and evaluate standards that enable representation of nursing-related measurements (e.g., Clinical LOINC, SNOMED CT)
  • Identify, propose and participate in development and revision of standards that enable representation of nursing-related measurements§ Educate/inform non-nurses regarding the needs standards that enable representation of nursing-related measurements
  • Educate/inform nurses regarding nursing-related measurement standards
  • Monitor and support policy development related to adoption of nursing-related measurement standards

IMIA-NI Objective: Identify priorities or gaps and make recommendations for future developments in Nursing Informatics.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Promulgate standards that enable development and communication of nursing knowledge and comparisons of nursing interventions and outcomes
  • Developing clinical data standards to enable the development and communication of nursing knowledge and allow the comparison of what nurses do and the results.
  • Collaborated with ICN for 5-year review of ISO 18104: Integration of a Reference Terminology Model for Nursing
  • Prepare short summaries on other CEN and ISO Health informatics standards that support goals of IMIA NI including recently approved metadata for health information resources standard and the technical report (in preparation): guidance on the application of patient safety risk management in the deployment and use of health software
  • Promulgate standards that enable the optimization of the communication of data, so coordination of the work processes of the care delivery team (nursing) is maximized for the delivery of quality care.
  • Explore the relationship between process interoperability and nursing practice (Nursing Workflow and Communication Sub-group):
    • Discussed key workflow processes related to nursing practice
    • Created a list of processes in need of standardization and information technology support
    • Created draft descriptions for each process
    • Identified definitions for each process
    • Explored whether the process is standardized
    • Determined whether technology is being used to support the process
    • Identified varying levels of granularity between countries
    • Identified the need for standard definitions for each process

IMIA-NI Objective: Support the development of Nursing Informatics in member countries and promote Nursing Informatics worldwide.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Promulgate standards that enable nursing decision support and evidence-based practice
  • Achieving access to reliable decision support and evidence based care options for clinical care in whatever location the patient receives care, treatment or advice.
  • Monitor and evaluate standards that enable nursing decision support and evidence-based practice
  • Identify, propose and participate in development and revision of standards that enable nursing decision support and evidence-based practice
  • Educate/inform non-nurses regarding the needs for standards that enable nursing decision support and evidence-based practice
  • Educate/inform nurses regarding standards that enable nursing decision support and evidence-based practice
  • Monitor and support policy development related to adoption of standards that enable nursing decision support and evidence-based practice

IMIA-NI Objective: Promote linkages and collaborative activities with national and international nursing and healthcare informatics groups and nursing and health care organisations globally.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Establish, build and participate in an international nursing informatics standards community
  • Ensuring frequent reviews of nursing practices and its related information needs.
  • Seek out and establish formal and informal links with relevant standards development organisations (e.g., Health Level 7, CEN, ISO, openEHR, IHTSDO, LOINC, WHO)
  • Seek out and establish links with relevant standards related branches of nursing organisations (e.g. NNAs, ICN)
  • Seek out and establish links with relevant standards advocacy groups (e.g. ACENDIO, HIMSS, NHS NLH, US NLM)

IMIA-NI Objective: Provide, promote and support informatics meetings, conferences, electronic communication forums to enable opportunities for the sharing of ideas, developments and knowledge.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Provide a platform for International, asynchronous, collaborative working
  • Share information across disciplinary and organisational boundaries while maintaining patient privacy and confidence.
  • Explore the use of web technologies to facilitate collaborative working (e.g. e-groups, e-meetings, wikis, blogs)
  • IMIA-NI Objective: To participate in IMIA working groups and special interest groups to present a nursing perspective.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Collaborate with IMIA WGs of relevance to health informatics standards to present a nursing perspective
  • Strive to ensure named representation or advocacy on all relevant IMIA WGs Report regularly and appropriately to all relevant IMIA WGs

IMIA-NI Objective: Develop recommendations, guidelines, tools and courses related to Nursing Informatics.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Increase the number of nurses with expertise in health informatics standards
  • Participated in healthcare informatics standards workshop at MIE 2008
  • Panel presentation at NI 2009
  • Explore other opportunities to educate or mentor nurses for participation in health informatics standards processes (e.g. web-based tutorials, webcasts)
  • Work to ensure that knowledge of standards is a key competency in informatics accreditation and credentialing

IMIA-NI Objective: Encourage the publication and dissemination of research and development materials in the field of Nursing Informatics

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Encourage collaborative multi-professional working
  • Developing clinical information systems that support the patient journey rather than specific staff group, while recognizing the addressing information gaps for nurses.
  • Integrate existing nursing-specific standards, where possible, with other wider healthcare standards
  • Ensure that emerging nursing-specific standards fit with other wider healthcare standards
  • Encourage participation of other professional groups in the development of nursing-specific standards
  • Strive for appropriate interdisciplinarity in all standards related activity
  • Encourage the publication and dissemination of research and development materials related to healthcare informatics standards of relevance to nursing
  • Establish publication and dissemination strategy for case studies of best practices in standards implementation
  • Authored book chapter (International Standards for Better Information Management) for HIMSS nursing informatics text

IMIA-NI Objective: To support and work with patients, families, communities and societies to adopt and manage informatics approaches to healthcare.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Ensure that standards meet the needs and reflect reality for patients, families, communities and societies
  • Explore, with a view to possible adoption, models of user involvement in standards development and other related activities

IMIA-NI Objective: Ensure the group is more visible by providing up to date information on the web site enabling external groups e.g. WHO, ICN to access as required.

Goals Challenges from Strategic Plan (if applicable) Steps/Activities

  • Establish a useful standards-related resource on IMIA-NI web site that is linked to relevant standards organizations
  • Develop a strategy for collecting and organizing relevant materials for the IMIA-NI web site
  • Inform relevant standards organizations and other groups of the existence of IMIA-NI web site
Co-Chair(s): 
Hardiker, Nicholas